Permit CITY OF TIGARD, ELECTRICAL PERMIT
PERMIT #: ELC2006 -00692
COMMUNITY DEVELOPMENT DATE ISSUED: 12/5/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S1046B - 02700
SITE ADDRESS: 14116 SW NORTHVIEW DR ZONING: R -
SUBDIVISION: CASTLE HILL LOT : 040 JURISDICTION: TIG
Project Description: (2) branch circuits for furnace & A/C. Job # 51405.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
JANE STREGE SUNSET HEATING & COOLING
14116 SW NORTHVIEW DR 0607 SE IDAHO
TIGARD, OR 97223 PORTLAND, OR 97239
Phone: 503 - 579 -6242 Contact #: PRI 503 - 234 -0611
FAX 503 - 234 -0439
FEES
Description Date Amount Reg #: ELE C117
[ELPRMT] ELC Permit 12/5/2006 $53.50 LIC 161085
[TAX] 8% State Surcharge 12/5/2006 $4.28 SUP 4638S
Total $57.78 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: . 0 Permittee Signature: Sx, e, tz
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE: •
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
Dec 05 06 01:07p p.
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t 40
Electrical Permit Apppi� rut( t,l l l( l., �1: ()NIA
City of Tigard �� J ` �
Received
Date/13 :t. ' J V t ) 7". C 6 :I 9
13125 SW Hall Blvd., Tigard, OR 97223 DEC ® ?DV Plan Review l
Phone: 503.639.4171 Fax: 503.598.1960 u,., ..,„0,. I Date/I3 ; Other Permit:
Inspection Line: 503.639.4175 CITY OF riCih,r.,r : a1 j: • . . - Dat Ready/By: RI See Page 2 for
w
Internet: ww.ci.tigard.or.us BUILDING ®IlV1 N otified/Me thod Supplemental Information
Tj 1 12 - 71 F , ,, f J �� "�'f' -"Y`.. .,� fS.l v 4 lT .'$ ? � L S ,��t`x i Fer/ 1 �N,r�'VS?i�'tIP� ?� 1!
�. .,1 ,� -.:: 1 ., 'f.1 .:. � -_? .. -: .*.+ -� = _'.: ,.. _. .... ��. _- �r_4�t_.r.:. vyF? .S.
❑ New construction ® Addition/alteration/replacement Please check all that apply: h.
['Service over 225 amps, comm'l ['Hazardous location
❑ Demolition ['Other:
mtt cg -R � �cs�,• M n r•catnT p : - ifi1 . *: , , �, :`'c. v,:..:Li sv3•,!yAr nx ['Service over 320 amps- -ratio Buildng over 10,000 ft.,
: r � .t ;'' - t r. e ; r e ;1 s� '� ` t " *.+3• "ra' '�,,' •r. �.. .,.� P rating ❑ sq.
'=` ft-4il ig
; 5Mt: e . _ V.:. , ._ x_•;. ,, ss.rz. :-t „;L:, , :t _ .., ::, .1' ; t- ,:a of 1- and 2-family dwellings 4 or more new residential
Oil- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi- family • ❑ Master builder ❑Other: ['Building over three stories ['Feeders, 400 amps or more
, Multi-family ['Occupant load over 99 persons ['Manufactured ,t: '' qc� -- .•v.. '�� t;� ,''rY'?' r r �'�u -n r-�w.• �^.: �' w " ' � . - p Pe structures or
t
S r. , e , -r' .. ' �.,,.. plan sus �`"
yr���✓. �yc.''"�x.....,. .. w.,.... aa,..., o: sc ..`s�:<r.''�_......��-.r =�, _ - ' " , r^..t�'. k {+� _ r �� ['Egress/lighting lan R V park
Job no. .. c - Job site address: ['Health-care facility ['Other: C a f i I 1 t 1' S v. A) 0),..) t•) ti i r; -- 0/ 1JY
Submit 2 sets of plans with any of the above.
City/State/ZIP: ' j) 6 : 11a': ? 3 The above are not applicable to temporary pp p nary construction service.
Suite/bldg./apt. no.: Project name: �'
o tl- it 'T' s : a } z ° � y'�; : " ^"5'
�'C ' 2( c «� ti oa
c) p � „ Qty. � 4
.... Fee. I T oul l -
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Tax map /parcel no.:
Limited energy, residential 75.00 2
+�..- , Limited energy, non - residential 75.00 2
4LL�� `fir T��(F� -k�(� c ='''.. '�. � 7TLii i ��+ev�..`"sji,•n^' -4
r- <=s,+„ filsl ' :: i' ' „' ��:0�*.T -"a... =,.7 :fir`' Mtl-Wa
`f"`�•.• �•�,x;• �: "� o: + Each manufactur ed or modular
'1 l; , I ` C i � dwelling, service and/or feeder 90.90 2
1l EL ' Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
y� j � �` *' c x t x v ', r. a : s 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: } a 1 ,. W . _ S3,,`u 601 amps to 1,000 amps 240.60 2 • i4-1 1 {
• 7 / Over 1,000 amps or volts 454.65
Address:
N r -1 - i•� V 16,- Dr. Reconnect only 66.85 2
City/State /ZIP: i C:, � - Temporary services or feeders installation, alteration, and/or
Phone: ( .r.) J - 7 ei - ly ( - ki Fax: ( ) 200 am 2 am ion
ps or less 66.85 I _
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 _ 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
T `,' Iy r ,0 �..:7;..t r L F'" ( .�. .„ YN >, vt C ,, , i 4- -.i, •:".;,, A. Fee branch circuits wish
' xsi -- e��? u i °. e� :'� - v -�'�'' � . i•,..... e�tr "'_
service for or feeder fee each
6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without serv or feeder fee,
Address: first b circuit 46.85 ti, Sit j 2
Each add', branch circuit ( 6.65 q t, 5 2
City/ State/ZIP: Miscellaneous (service or feeder not included)
Phone: Pump or irrigation circle 53.40 2
( ) Fax: : ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
*r U 3Fi' - f-WC^a} . G -( ei° 'rT' ^ t '.` ,?... P.771,,. S tT• 4:ta ' - " .r'"}'SY 'y"7'.
_ .s, -. ;� �.., . a .�.S: ��::. . "� T ,. ,,... " �ta..i r ,!.. •U =-
` energy panel, Descri alteration, or Page 2 2
Business name: Sunset Heating and Cooling
Address: 0607 SE Idaho Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State /ZIP: Portland, OR 97239 Investigation per hour ( 1 hr min) 62.50
Phone: (503) 234 -0611 I Fax: (503) 234-0439 ' Industrial plant per hour 73.75
'+ a }:ai, _ :4 : .8;: _ . C ^ T -0 . M r :�,0.:: y ,, -
CCB Lie.: 161085 I Electrical Lie.: C117 Suprv. Lie.: 4638S Subtotal 4'
Suprv. Electrician signature, required: ` Plan review (25% of permit fee)
� ✓ ��9, 4..... State surcharge (8% of permit fee) t a . <' b
Print name:
Ira - � ES S Date: I J.f I �, L,
TOTAL PERMIT FEE 51 '�
Authorized Signature: This permit application expires if a permit is not obtained within 180
Print name: � n G ;1(4>C d ays a tt has bean acc epted as comp
� I e -- I Dat 1 � �� t,1 ' • Fee metho dology act by Tti -County Building Industry Service Board
• • Numbtr of inspections per permit allowed.
1 s 1134 adingTermin \ELc- PermitApp.doc 12/03 440- 46iST(1afi]/COM/WEB
CITY OF TIGARD /'W;
BUILDING DIVISION PERMIT #: ELC2006-00692
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1215/200;
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "I �..
INSPECTION WORKSHEET FOR DATE: 1/16/2007 TIME: 7 :09AM PAGE: 57
SITE ADDRESS: 14116 SW NORTHVIEW DR CLASS OF WORK:
SUBDIVISION: CASTLE HILL LOT #: 040 TYPE OF USE:
PROJECT NAME: STREGE
DESCRIPTION: (2) branch circuits for furnace & NC. Job # 51405.
OWNER: STREGE, JANE PHONE #: 503 - 579 -5242
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503 - 234 - 0611
Inspection Request Scheduled For: Date: •1/•1612007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes - • =
199 Electrical final 042069 -02 503-579-6242
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FO/R INSPECTION ❑ ADDITIONA). EES SSESSED
o7
Inspector: C Date: I [' a - Phone #: (503) 718 - Z7,021k4